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Maine rates for HCPCS 14040

Adjt Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.75 / $605.61 / $6,831.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.05 / $663.55 / $1,215.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.78 / $816.10 / $1,238.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.54 / $1,011.93 / $1,502.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.06 / $958.37 / $1,597.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1,297.03 / $14,094.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.05 / $710.28 / $1,215.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.92 / $1,049.80 / $1,541.02